老年人孤独感与躯体生命质量的关系:一项纵向追踪研究  

The Association between Loneliness and Physical Health-Related Quality of Life in Older Adults:A Longitudinal Study

作　　者：范云歌 黄瑞典 王威 张瑞 李晓薇 范方 FAN Yunge;HUANG Ruidian;WANG Wei;ZHANG Rui;LI Xiaowei;FAN Fang(School of Psychology,Centre for Studies of Psychological Applications,South China Normal University,Guangzhou 510631,China;Hospital of Zhongluotan Town Baiyun District,Guangzhou 510550,China)

机构地区：[1]华南师范大学心理学院,华南师范大学心理应用研究中心,广州510631 [2]钟落潭镇疾病预防控制中心,钟落潭镇卫生院,钟落潭医院,广州510550

出　　处：《心理技术与应用》2025年第1期9-17,共9页Psychology(Techniques and Applications)

基　　金：教育部人文社会科学研究项目(23YJC190005);广州市哲学社科规划2023年度课题(2023GZQN32)。

摘　　要：为探讨老年人孤独感对其躯体生命质量的纵向关系及其作用路径,使用简明健康测量量表的躯体生命质量分量表、孤独感量表简版、宿命论量表和患者健康问卷抑郁量表对广东省276名老年人进行间隔9个月的两次问卷调查。结果发现:(1)老年人孤独感可负向预测其躯体生命质量;(2)宿命论在孤独感与即时躯体生命质量之间起调节作用,低宿命论可减弱孤独感与躯体生命质量间的负向关系;(3)抑郁在孤独感与长期躯体生命质量之间起完全中介作用。该结果为老年人孤独感与躯体生命质量的关系提供了纵向证据,对提高老年人的躯体健康功能和促进我国积极老龄化具有启示意义。This study aims to explore the longitudinal impact of loneliness on physical health-related quality of life among older adults and to investigate the mechanism.A total of 276 elderly people in Guangdong Province were recruited at baseline and were followed up 9 months later.Participants were assessed using the physical health subscale of Medical Outcomes Study 12-item Short-form Health Survey,UCLA Loneliness Scale,FATE Scale,and Patient Health Questionnaire Scale.The results showed that:(1)Loneliness negatively predicted the elderly’s physical health-related quality of life over time;(2)Fatalism moderated the concurrent relationship between loneliness and physical health-related quality of life,and low fatalism could buffer the concurrent negative impact of loneliness on physical health-related quality of life;(3)Depression completely mediated the longitudinal relationship between loneliness and long-term physical health-related quality of life.The results of this study provide longitudinal evidence for the relationship between loneliness and physical health-related quality of life,and are salutary for the improvement of physical health function and the promotion of active aging.

关 键 词：老年人 孤独感 躯体生命质量 宿命论 抑郁 

分 类 号：B844.3[哲学宗教—发展与教育心理学]